[An urgent successful operation for aortic regurgitation with chronic renal failure, low cardiac function and...

A 63-year-old man had suffered from congestive heart failure due to aortic valve regurgitation and had followed chronic renal failure. Left ventricular ejection fraction revealed 18% and Creatinine Clearance value was 8 ml/min. What is worse, recurrent ventricular tachycardia resulted in disturbance of consciousness and cardiogenic shock. As the medical therapy was no more effective, aortic valve replacement was done urgently. During the operation, myocardial protection was performed adequately and hemodialysis was used. Postoperatively peritoneal dialysis was employed. As a result these means facilitated the intraoperative and postoperative management of the patient. He became well and then was discharged. Successful operation can be performed in the face of severe cardiac and renal failure under the careful and proper management.